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OpenClinical: Open Source?
John Fox
University of Oxford (Engineering Science)UCL (Oncology, Royal Free Hospital) www.cossac.org
www.OpenClinical.org
• Goal: To promote awareness and use of decision support, clinical workflow and other knowledge management technologies for improving quality and safety of patient care and clinical research.
• A resource and portal for technologists, clinicians, healthcare providers and suppliers
• Currently about 200,000 visitors a year (80% growth in 2010)
wwwOpenClinical.net
• Experimental project to explore how to develop content for high quality clinical decision support and workflow services at the point of care
• Goal is to build a community of users, researchers and content providers who are willing to contribute to the development of a repository of open content, including applications and application components
OpenClinical.net test sitepro tem: modx.openclinical.net
Content development lifecycle
• Prototype development model for open source content repository on www.OpenClinical.net
• Currently limited to PROforma decision and process modelling language
• Intended to eventually multiple representations (e.g. GLIF, ASBRU, GELLO, OWL ...)
Load from, save to repository
Download tools www.cossac.org/tallis
Web publishing (“publets”)
Integrate and Deploy
Key questions for open content
• Quality and Safety– Quality lifecycles, safety culture, who is liable?
• Reusability and interoperability – Open technical standards, who is developing them?
• Functioning community (Sheizaf Rafaelli)– What will sustain the open source ethic?
• Facilitating infrastructure (Bob Greenes)– Three organisations; too little? too much?
• Sustainable business models– How do the proprietary/open source worlds coexist?
Sustainable business models (1)
• Traditional standalone apps? • Issues of integration and localisation• Likes fragmentation; hates
interoperability
• Pay per patient (analogous to pay per view)
• Who would/should actually pay? • No-one pays for Adjuvant! Online
Sustainable business models (2)
• Standard medical publishing model• Commercially viable on a publishing model?
(Clinical Evidence)• Discussion on www.berkerynoyes.com/
pages/innovations_in_evidence_based_medicine.aspx
• Open Source with value-adding services? (c.f. Linux model)• Attractive model but how can we achieve
critical mass of a content development community?
Towards an open content lifecycle?
Ioannis ChronakisVivek PatkarRichard ThomsonMatt SouthAli Rahmanzadeh